ArticleHealth and quality of life outcomes2020
Comparing the performance of the EQ-5D-3 L and the EQ-5D-5 L in an elderly Chinese population.
Article in Health and quality of life outcomes, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers.
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Who cites it
13 citing papers in PubMed.
- A Home-Based Online Psychoeducation Programme on Subjective Well-Being Amongst Community-Dwelling Older Adults With Frailty: A Pilot Randomised Controlled Trial.International journal of older people nursing · 2026Trial
- Measurement properties of EQ-5D-3L and EQ-5D-5L in recording self-reported health status in older patients with substantial multimorbidity and polypharmacy.Health and quality of life outcomes · 2020Trial
- The mediating role of activities of daily living in the association between intrinsic capacity and health-related quality of life: evidence from the WHO ICOPE pilot in China.Aging clinical and experimental research · 2026Article
- Integrated Internet-Based Pharmaceutical Care and Its Association with Clinical Outcomes and Medication Adherence in Older Adults with Multimorbidity: A Prospective Observational Study.Patient preference and adherence · 2026Article
- The relationship between disability and quality of life among older adults: the roles of sleep, depression, and living arrangements.Frontiers in public health · 2026Article
- Gender differences in the impact of emotional support networks on health-related quality of life among floating elderly: a cross-sectional study in China.BMC geriatrics · 2025Article
- Measuring the health outcomes of Chinese ischemic stroke patients based on the data from a longitudinal multi-center study.Quality of life research : an international journal of quality of life aspects of treatment, care and rehabilitation · 2025Observational
- The generic version of China Health Related Outcomes Measures (CHROME-G): psychometric testing and comparative performance with the EQ-5D-5L and SF-6Dv2 among the Chinese general population.BMC public health · 2024Article
- Central features in health-related quality of life in older adults: network analysis using nationwide survey data.BJPsych open · 2023Article
- Comparing EQ-5D-3L and EQ-5D-5L in measuring the HRQoL burden of 4 health conditions in China.The European journal of health economics : HEPAC : health economics in prevention and care · 2023Article
- Patient reported outcomes based on EQ-5D-5L questionnaires in head and neck cancer patients: a real-world study.BMC cancer · 2022Article
- Cost effectiveness and health-related quality of life of chemoradiotherapy versus radiation therapy alone in elderly head and neck cancer patients.Strahlentherapie und Onkologie : Organ der Deutschen Rontgengesellschaft ... [et al] · 2022Article
- Rural population's preferences matter: a value set for the EQ-5D-3L health states for China's rural population.Health and quality of life outcomes · 2022Article
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Authors and funding
6 authors.
Funding
Abstract
backgroundThis study was conducted to compare the validity and discriminative power of both the EQ-5D-3 L and EQ-5D-5 L in an elderly Chinese population with multiple chronic and acute conditions.
methodsA total of 648 retired people from China (mean ± standard deviation: 73.3 ± 6.4 years; male: 55.7%) were recruited and randomized to complete the 3 L or 5 L questionnaire. The 3 L and 5 L were compared in terms of distribution properties, ceiling effects, informativity, validity and discriminatory performance. Convergent validity between the 3 L and 5 L was tested by spearman's rank-order correlation. Discriminatory power was conducted by relative efficiency as assessed by the F statistics.
resultsMost participants answered to "no problems" on both versions of EQ-5D. The 5 L trended towards a slightly lower ceiling compared with the 3 L. The Shannon index improved with the 5 L while the Shannon's Evenness index tended to be similar. Convergent validity was confirmed by the moderate to strong correlation for both 3 L and 5 L. Relative efficiency suggested that 5 L had a higher absolute discriminatory power than the 3 L version in terms of the presence conditions, especially for osteoporosis and metabolic syndrome.
conclusionsBoth the 3 L and 5 L are demonstrated to be valid based HRQoL instruments in Chinese elderly population. The 5 L system may be preferable to the 3 L, as it demonstrated superior performance with respect to lower ceiling effect and better discriminatory power. Further research is needed to examine the responsiveness of the two EQ-5D instruments in this population.
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